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Individual
JOHN SALEK-RAHAM
Active
Individual
JOHN SALEK-RAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2901021011
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
S157
MN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
4301119400
MI
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
67345
MN
Other
Enumeration date
06/14/2013
Last updated
10/20/2020
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